HomeMy WebLinkAbout2016-00071 - plumbing � CITY OF ORONO * z 0 1 6 - 0 0 0 7 1 *
` 2750 KELLEY PARKWAY DATE ISSUED: OU20/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2730 PHEASANT RD
PIN : 21-117-23-23-0057
LEGAL DESC : PHEASANT LAWN/2
: LOT MB BLOCK MB
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULT[PLE
NOTF': ADDITIONAL FIXTURES: 1 WATER CLOEST,2 LAVATORIES, 1 BATHTUB, 1 SHOWER. 1 KITCHEN SINK. 1 DISPOSAL. 1
D1SH WASHER.
1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR
VALUATION OF PLUMBING 20000
APPLICANT PLUMBING FIXTURE FEE 250.00
STATE SURCHARGE PLBG(VALUATION) 10.00
MIKE OBRIEN PLUMBING LLC
P.O. BOX 132 TOTAL 260.00
LESUEUR,MN 56058- Payment(s)
(507)720-2450 CREDIT CARD 2277 260.00
Minnesota State License#: plbg-PC692125
OWNER
COTTER, JEFF& PEGGY
2730 PHEASANT RD.
EXCELSIOR, MN 55331-
AGREEMENT AND SWORN STATEMENT
�'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This perniit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
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, ;%�p����, City of Orono FOR CITY US ONLY
' ;�' O��, P.O. Box 66 Date Received: � - �� " "�
! 2750 Kelley Parkway -� - � j
�r � Crystal Bay, MN 55323 Permit# - �' �� — L'���- �
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Amount$: 2- L"C.> '
CITY OF ORONO - PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/ivuww.dii,mn.goviCCLD/PDF/pe plumbplanrevapp.pdf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600.
(24-48 hour notice required)
TYPE OF PERMIT(Check All That Apply)
� Residential ❑ Commercial (Approval Required)
❑ New �Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
,
Site Address: �- 7 -�C\' ��'1��ti� ���
Owner: �i�-��� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor. � � �' � Contact Person: � c ���i�'�-
Address: �� �� � l 3 �-- State Bond #: /�� � c/r�/��
City: �- e J«-c' � � Zip: ��� S � Expiration Date: :�c � 7
Phone: �G 7 70�� � � � S�' Alternate Phone:
�f Insurance - Current:
Page 1
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��•, " PLUMBING FIXTURES BEING INSTALLED'' `
• FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2"o OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub � Laundry Tray j
Shower Washer
Kitchen Sink Water Heater
Disposal � Water Softener �
Dishwasher ( Wet Bar (
Sillcocks Miscellaneous
PERMIT FEE CALCULATION '
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
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;T� ��C�� x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 _
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4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �'�,��-'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to
the customer for the work done. If any material, equipment, labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true and correct.
, �� _ �(
ApplicanYs Signature: � �� Date: � � l�
Building Official/ Inspector: Date:
Page 2
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CITY OF ORONO CALLED IN
INSPECTION N TIC�� ��•,ISCHEDULED �r� r
PERMIT NO. co���� �
ADDRESS a�.�O
OWNER TE P ONE O. D 7�'7�d`�`�
CONTRACTOR ���� �
� DESCRIPTION '�`"''�� (�aZ'�'�G l-<u/r %UJ�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ��LUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERfC�NTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
� �AG�T WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION 7EMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
Owner/Contractor on site: /�1� / �t P/
Inspector:��/ "^ �
White Copyllnspector's File Canary CopyfSfts Notice
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DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��3� � =.�O
PERMIT NO. I COMPLETED
ADDRESS 2- �.3Z� p�0�[l Gtlt f �
OWNER TELEPH NE NO!5�7"�aD�2L£�
CONTRACTOR �/�_ ��j_�j�,t�p
� DESCRIPTION /" / �-�-�� T- �-w�t�Q t'1/7� 1
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOFG�COIGBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector: � � �-•� `�
White Copyllnspector's File Canary CopylSite Notice